Active NPI
Beacon Behavioral Hospital - Baton Rouge LLC
- Psychiatric Hospital
- Baton Rouge, LA
National Provider Identifier
1922690106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- Legal business name
- BEACON BEHAVIORAL HOSPITAL - BATON ROUGE LLC
- Practice address
- 2414 Bunker Hill Dr
Baton Rouge, LA 70808-3303 - Phone
- (225) 810-4040
- Fax
- (225) 810-4050
- NPI assigned
- Feb 9, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Phillip Sean Wendell, CPA
- Title
- Ceo
- Phone
- (225) 810-4040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | Primary |
Addresses
Primary practice location
2414 Bunker Hill Dr
Baton Rouge, LA 70808-3303
Mailing address
4601 Bluebonnet Blvd Ste B
Baton Rouge, LA 70809-9656
Phone (225) 810-4040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Hospital certification: CCN 190227
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- CONCORD HOSPITAL
- Certification status
- Terminated Voluntary: merger or closure, Dec 3, 1999
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Sep 14, 1993
- Last certification
- Sep 14, 1993
- Beds
- 96
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Jul 1, 1996 (1 total)
- Facility address
- 2414 Bunker Hill
Baton Rouge, LA 70808
Hospital certification: CCN 194013
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- PARKLAND HOSPITAL
- Certification status
- Terminated Voluntary: merger or closure, Oct 31, 1992
- Provider type (POS)
- Hospital – Psychiatric
- Participating since
- Sep 1, 1984
- Last certification
- May 9, 1990
- Beds
- 216
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Mar 31, 1990 (2 total)
- Facility address
- 2414 Bunker Hill Dr
Baton Rouge, LA 70808
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612828800000",
"number": "1922690106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 BLUEBONNET BLVD STE B",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708099656",
"telephone_number": "225-810-4040",
"fax_number": "225-810-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2414 BUNKER HILL DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708083303",
"telephone_number": "225-810-4040",
"fax_number": "225-810-4050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEACON BEHAVIORAL HOSPITAL - BATON ROUGE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-09",
"last_updated": "2021-02-09",
"certification_date": "2021-02-09",
"status": "A",
"authorized_official_last_name": "WENDELL",
"authorized_official_first_name": "PHILLIP",
"authorized_official_middle_name": "SEAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "225-810-4040",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.